Mir Behavioral Health LLC

NPI #1629359807 in Lithonia, Georgia

Provider Information

NPI Number
1629359807
Entity Type
Organization
Organization Name
Mir Behavioral Health LLC
Primary Specialty
Psychologist - Clinical
Enumeration Date
Sep 1, 2011
Last Updated
Sep 1, 2011

Practice Location

Address
6886 MAIN ST
Address 2
STE 215
State
Georgia
ZIP Code
30058-4508
Phone
(404) 759-3444

Authorized Official

Name
MADINAH I RALSTON, PHD
Title
OWNER
Phone
(770) 759-3444

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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